| NPI | 1972094266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN JONES Medical Director 504-503-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: LA MD203855) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: LA MD203855) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2024-03-05 |